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sd-10-EFTA01384796Dept. of JusticeOtherEFTA Document EFTA01384796
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Dept. of Justice
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sd-10-EFTA01384796
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Summary
II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information; a. Name and Title of Natural Person. Opening Account: JEFFREY E. EPSTEIN, SOLE MEMBER b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: 1NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY I 6100 RED HOOK QUARTER, 83 St THOMAS, USVI 00802 c. The following information for each individual, if a
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II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information;
a. Name and Title of Natural Person. Opening Account:
JEFFREY E. EPSTEIN, SOLE MEMBER
b. Name of Legal Entity. Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened:
1NEPTUNE, LLC, A DELAWARE LIMITED LIABILITY COMPANY
I
6100 RED HOOK QUARTER, 83
St THOMAS, USVI 00802
c. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement
understanding, relationship or otherwise. owns 25 percent or more of the equity interests of the legal entity listed above:
oNme
ante al Binh
Legal Address
JEFFREY E. EPSTEIN
For U.S. Persons:
For tfon-U.S. Pe;sons:
Social Security
(See foe:rick for alternatives:
Number
to Social Secleky Number)
;
For Noo-US. Persona in mown toe Social Security Number Or a Passport ?lumber with Country of lawn*, an alien oentincation co s. minx:. or number
Inc woody of issuance clewow( governmenbissued dean:men: cvidoncing notionsitty or reliance and bearing a photograph o:
safeguaro snood
be prosiest's
of no mandual meets this ceilnioon. tease wrce 'Not AposcabO.1
d. The following information for one individual with significant responsibility for managing the iegal entity fisted above.
such as:
• An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer. Chief Operating Pillow.
Managing Member. General Partner, President, Vice President. Treasurer); or
• Any other individual who regularly performs similar functions.
(If appropriate. an individual listed under section (c) above may also be listed in this section (d)).
Noire
' Data of Sinn
JEFFREY E. EPSTEIN
SEE
Legal Address
,ABOVE
For U.S. Persons:
I Social Sec-arcy
; Number
I
For Non.U.S. Persons:
(Sect footnote 1 lc: alternatives
to Secret SCCUrky Nunter)
For Non-US. Pe-sons. in *edition to a Social Secorby Number or a Passport Number wen Country of Issuance. an aten Mentifitaman use rrart4t. or num Dor
and (tunny of issuance of any other pvernmentissued :locum:fir evidencing neilanaliw or residence end 'taping a photogr% ph or sinlm saienuorc snotun
be atovicied.
I. JEFF
my' owledge, that th. informal
14ga:entity Identifier (Optional)
of natural person opening the account), hereby certify, to the best of
is complete and correct.
1124)18
Date
Signature Ve
Name (
):
‘6 2/ 41/4.
\I 17
1T/'2- 71
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0085320
SONY GM_00231504
EFTA01384796
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